Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.95 / $3,839.00 / $8,247.00	Facility		$189.95	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $176.55 / $193.56	Professional		$150.51	$176.55	$193.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $163.76 / $259.26	Professional		$139.19	$163.76	$259.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.31 / $220.96 / $322.83	Professional		$156.31	$220.96	$322.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $240.28 / $240.28 / $252.34	Professional		$240.28	$240.28	$252.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,761.00 / $8,247.00	Facility		$657.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $189.95 / $1,426.00	Professional		$150.51	$189.95	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $393.10	Professional		$3.00	$3.00	$393.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $171.20 / $224.77 / $346.45	Professional		$171.20	$224.77	$346.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $152.28 / $152.28 / $175.90	Facility		$152.28	$152.28	$175.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.59 / $155.11 / $175.90	Professional		$145.59	$155.11	$175.90
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.24 / $215.86 / $338.63	Professional		$159.24	$215.86	$338.63